14,970 research outputs found
Contesting the cruel treatment of abortion-seeking women
NOTICE: this is the author’s version of a work that was accepted for publication in Reproductive Health Matters. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in REPRODUCTIVE HEALTH MATTERS, [VOL 22, ISSUE 44, (2014)] DOI: 10.1016/S0968-8080(14)44818-
Weld procedure produces quality welds for thick sections of Hastelloy-X
Welding program produces premium quality, multipass welds in heavy tube sections of Hastelloy-X. It develops semiautomatic tungsten/inert gas procedures, weld wire procurement specifications material weld properties, welder-operator training, and nondestructive testing inspection techniques and procedures
The supernova-regulated ISM. I. The multi-phase structure
We simulate the multi-phase interstellar medium randomly heated and stirred
by supernovae, with gravity, differential rotation and other parameters of the
solar neighbourhood. Here we describe in detail both numerical and physical
aspects of the model, including injection of thermal and kinetic energy by SN
explosions, radiative cooling, photoelectric heating and various transport
processes. With 3D domain extending 1 kpc^2 horizontally and 2 kpc vertically,
the model routinely spans gas number densities 10^-5 - 10^2 cm^-3, temperatures
10-10^8 K, local velocities up to 10^3 km s^-1 (with Mach number up to 25).
The thermal structure of the modelled ISM is classified by inspection of the
joint probability density of the gas number density and temperature. We confirm
that most of the complexity can be captured in terms of just three phases,
separated by temperature borderlines at about 10^3 K and 5x10^5 K. The
probability distribution of gas density within each phase is approximately
lognormal. We clarify the connection between the fractional volume of a phase
and its various proxies, and derive an exact relation between the fractional
volume and the filling factors defined in terms of the volume and probabilistic
averages. These results are discussed in both observational and computational
contexts. The correlation scale of the random flows is calculated from the
velocity autocorrelation function; it is of order 100 pc and tends to grow with
distance from the mid-plane. We use two distinct parameterizations of radiative
cooling to show that the multi-phase structure of the gas is robust, as it does
not depend significantly on this choice.Comment: 28 pages, 22 figures and 8 table
Nestling diet, secondary sexual traits and fitness in the zebra finch
We examined the effect of nestling diet quality on a suite of physiological, morphological and life-history
traits in adult male zebra finches,Taeniopygia guttata. Compared with birds reared on a supplemented diet,
nestlings reared on a seed-only diet showed a reduced rate of growth and reduced cell-mediated immune function as measured by an in vivo response to aT lymphocyte-dependent mitogen. There were no differences between birds reared on the two diets in any of the following adult traits: body size, primary sexual traits (testes mass, numbers of stored sperm, sperm function, velocity and morphology), secondary sexual traits (beak colour and song rate), serological traits or immunological traits. The only differences we detected were a lower body mass and a greater proportion of individuals with plumage abnormalities among those reared on a seed-only diet (this latter effect was transient). The fact that male zebra finches reared on a seed-only diet were, as adults, virtually indistinguishable from those reared on a supple-
mented diet, despite having reduced growth and immune function as nestlings, demonstrates that they
subsequently compensated through the di¡erential allocation of resources. Our results indicate that differ-
ential allocation is costly in terms of fitness since birds reared on a seed-only diet experienced a significantly greater mortality rate than those reared on a supplemented diet. This in turn suggests the existence of a trade-of between the development of traits important for reproduction, such as primary and secondary sexual traits and longevity
Feasibility of a chemical poison loop system
Chemical poison loop system for reactivity control of tungsten water moderated rocket reacto
Neurologists' lived experiences of communicating the diagnosis of a motor neurodegenerative condition: an interpretative phenomenological analysis
BACKGROUND
Receiving the diagnosis of a motor neurodegenerative condition (MNDC) can be a life-changing experience. Although several studies of individuals' experiences have indicated dissatisfaction with aspects of how an MNDC diagnosis was communicated, few studies have addressed doctors' experiences of breaking bad news for these conditions, especially from a qualitative perspective. This study explored UK neurologists' lived experience of delivering an MNDC diagnosis.
METHODS
Interpretative phenomenological analysis was used as the overarching method. Eight consultant neurologists working with patients with MNDCs took part in individual, semi-structured interviews.
RESULTS
Two themes were constructed from the data: 'Meeting patients' emotional and information needs at diagnosis: a balancing act between disease, patient and organization-related factors', and 'Empathy makes the job harder: the emotional impact and uncovered vulnerabilities associated with breaking bad news'. Breaking the news of an MNDC diagnosis was challenging for participants, both in terms of achieving a patient-centred approach and in terms of dealing with their own emotions during the process.
CONCLUSIONS
Based on the study's findings an attempt to explain sub-optimal diagnostic experiences documented in patient studies was made and how organizational changes can support neurologists with this demanding clinical task was discussed
Neurologists' current practice and perspectives on communicating the diagnosis of a motor neurodegenerative condition: a UK survey
Background
The communication of a life-changing diagnosis can be a difficult task for doctors with potential long-term effects on patient outcomes. Although several studies have addressed the experiences of individuals with motor neurodegenerative diseases in receiving this diagnosis, a significant research gap exists regarding professionals’ perspectives, especially in the UK. This study aimed to assess UK neurologists’ current practice and perspectives on delivering the diagnosis of a motor neurodegenerative disease, explore different aspects of the process and detail the potential challenges professionals might face.
Methods
We conducted an anonymised online survey with 44 questions, grouped into four sections; basic demographic information, current practice, the experience of breaking bad news and education and training needs.
Results
Forty-nine professionals completed the survey. Overall, participants seemed to meet the setting-related standards of good practice; however, they also acknowledged the difficulty of this aspect of their clinical work, with about half of participants (46.5%) reporting moderate levels of stress while breaking bad news. Patients’ relatives were not always included in diagnostic consultations and participants were more reluctant to promote a sense of optimism to patients with poorer prognosis. Although professionals reported spending a mean of around 30–40 min for the communication of these diagnoses, a significant proportion of participants (21–39%) reported significantly shorter consultation times, highlighting organisational issues related to lack of capacity. Finally, the majority of participants (75.5%) reported not following any specific guidelines or protocols but indicated their interest in receiving further training in breaking bad news (78.5%).
Conclusions
This was the first UK survey to address neurologists’ practice and experiences in communicating these diagnoses. Although meeting basic standards of good practice was reported by most professionals, we identified several areas of improvement. These included spending enough time to deliver the diagnosis appropriately, including patients’ relatives as a standard, promoting a sense of hope and responding to professionals’ training needs regarding breaking bad news
Using Three-Body Recombination to Extract Electron Temperatures of Ultracold Plasmas
Three-body recombination, an important collisional process in plasmas,
increases dramatically at low electron temperatures, with an accepted scaling
of T_e^-9/2. We measure three-body recombination in an ultracold neutral xenon
plasma by detecting recombination-created Rydberg atoms using a
microwave-ionization technique. With the accepted theory (expected to be
applicable for weakly-coupled plasmas) and our measured rates we extract the
plasma temperatures, which are in reasonable agreement with previous
measurements early in the plasma lifetime. The resulting electron temperatures
indicate that the plasma continues to cool to temperatures below 1 K.Comment: 5 pages, 3 figure
- …